SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

7b. Work of the Emergency and Urgent Care Clinical
Implementation Group
This section sets out the revised proposals for the future development of emergency and
urgent care in NW London, as part of the wider reconfiguration proposals for the Shaping a
healthier future programme:
Provides an overview of the original consultation proposal and the consultation
responses to it
Describes the work undertaken by the Emergency and Urgent Care Clinical
Implementation and Planning Group (E&UC CIG) to review the original proposal in
the light of consultation responses and further discussion by clinicians working in
NWL
Sets out recommendations that will be used to inform decision-making by the
Shaping a Healthier Future Clinical and Programme Boards in relation to the postreconfiguration
structure of emergency and urgent care services in NW London.
7.8 Summary of the CIG’s recommendations
Pre-consultation we set out a number of recommendations for emergency and urgent care:
1. We propose five EDs located at Major Acute hospital sites in NW London
2. We propose nine UCCs in NW London
3. All UCCs will operate on a 24/7 basis
4. London Health Programme‟s London Quality Standards covering Emergency Surgery
and Acute Medicine and UCCs should be adopted across NWL for Major Acute
Hospitals.
The E&UC CIG supports these recommendations and has made the following additional
recommendations:
1. London Health Programmes quality standards covering Emergency Departments
should be adopted in addition to those LHP standards already stipulated in the PCBC
2. All UCCs in NWL will operate to a consistent set of standards, irrespective of
whether they are co-located with an ED
3. A UCC is a primary care service and will be expected to operate with a distinctive
primary care ethos. This will be reflected in staffing, case-mix, integration with local
primary care services and the implementation of positive re-direction back into the
care of the patient‟s registered GP
4. Each UCC should partner with a specific ED. The partnership should include
oversight of joint governance arrangements (e.g. a Joint Clinical Governance Group)
5. Robust transfer protocols will be implemented to ensure that, where necessary, UCC
patients can be transferred to ED in a manner that is both timely and clinically safe
6. Detailed modelling work is required to understand anticipated ED and UCC activity
volumes, including the likely volume and acuity of UCC to ED patient transfer, and its
impact on the LAS and other ambulance transport to ensure that patient safety and
experience of care are maintained.
7b. Work of the Emergency and Urgent Care CIG 142